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Lymphocytic colitis treated with proctocolectomy and ileal J-pouch-anal anastomosis: report of a case.

AbstractPURPOSE:
We present a case of severe diarrhea caused by lymphocytic colitis and concurrent celiac sprue in a patient who did not respond to maximal medical therapy and required surgery.
METHODS:
The patient was initially treated with fecal diversion via an end ileostomy. Six months later, she underwent colectomy and one-stage ileal J-pouch-anal anastomosis.
RESULTS:
Notably, the characteristic microscopic changes of lymphocytic colitis were still present at the time of colectomy despite diversion.
CONCLUSION:
Colectomy with continent reconstruction is an option for treatment of patients with lymphocytic colitis refractory to medical therapy.
AuthorsLinda Varghese, Susan Galandiuk, William J Tremaine, Lawrence J Burgart
JournalDiseases of the colon and rectum (Dis Colon Rectum) Vol. 45 Issue 1 Pg. 123-6 (Jan 2002) ISSN: 0012-3706 [Print] United States
PMID11786777 (Publication Type: Case Reports, Journal Article)
Topics
  • Anal Canal (pathology, surgery)
  • Anastomosis, Surgical
  • Colitis (pathology, surgery)
  • Colon (pathology, surgery)
  • Female
  • Humans
  • Lymphocytosis (pathology, surgery)
  • Middle Aged
  • Proctocolectomy, Restorative

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